| NPI | 1003094202 |
|---|---|
| Doing Business As | FUNCTIONAL REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | NOSTER R VILLAMOR Administrator 863-465-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2010-10-25 |