| NPI | 1033468830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ALVAREZ Managing Member 386-248-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL me97134) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |