| NPI | 1952404907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNY CARMONA Manager 786-268-7619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL 686857) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-01-11 |