| NPI | 1992178446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAY QUEVEDO Administrator 305-640-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2026-09-14 |