| NPI | 1992734198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEREESI ALONSO President 305-220-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2014-08-08 |