| NPI | 1003473349 |
|---|---|
| Doing Business As | DAVENPORT SPINE AND REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | YANINA GENAO Owner/Doctor 407-942-3258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |