| NPI | 1912927245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN SILVA Administrator 305-643-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 169317-0002) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-01-03 |