| NPI | 1104881291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMESE SIMON Owner 941-371-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME93615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME25334) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-06-14 |