| NPI | 1033736574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STEPHEN FOLAND Owner 904-288-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2021-01-05 |