| NPI | 1053621086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL J FREED Owner/President 407-898-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME53196) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |