| NPI | 1912290131 |
|---|---|
| Former Legal Business Name | XTREME MEDICAL CENTER , CORP |
| Entity Type | Organization |
| Authorized Contact | YANELYS FUNDORA President 305-229-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: FL ma58827) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |