| NPI | 1063757482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHARLES HOFMANN President 904-636-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL 059601) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |