| NPI | 1023308806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A. OTEYZA Medical Director 904-551-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME0043663) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2012-03-26 |