| NPI | 1932120284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GONZALEZ President 305-628-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0900X Clinic/Center, Amputee (Licence: FL OL05-5987) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |