| NPI | 1962651125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSON BAILEY President 305-439-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |