| NPI | 1992244271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FERNANDO ROA President 786-553-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 22682) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2022-08-29 |