| NPI | 1083469456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MADLENER Authorized Official 321-806-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-08-15 |