NPI | 1962079814 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDDY MARINO LEYVA President 786-409-3454 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2021-06-09 |
Last Update Date | 2024-08-29 |