| NPI | 1982319695 |
|---|---|
| Former Legal Business Name | PROMED HEALTHCARE CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | MAGALY TRAVIESO CEO 305-639-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |