| NPI | 1063787539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FAULHABER Owner/Pesident 772-873-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2012-03-17 |