| NPI | 1952797573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGOBERTO NAVIA LA ROSA Owner 305-793-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME65756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME65756) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL PT1567) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |