| NPI | 1043647209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE DOCILE CASTHELY Physician 321-872-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS11239) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-22 |