| NPI | 1912296781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN GUTIERREZ IMA Owner 786-401-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM26437) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |