| NPI | 1104546241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KRAUSE Owner 850-979-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-05-08 |