| NPI | 1114762622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SPENCE Chief Financial Officer 239-343-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |