| NPI | 1992398804 |
|---|---|
| Doing Business As | G21 FITNESS, PHYSICAL THERAPY AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | RENATO SILVA Owner 954-805-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |