| NPI | 1053739680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHRA KENT Office Manager 407-704-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS12315) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 7198550001) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2015-02-19 |