| NPI | 1144288986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW SIMON KRONMAN Administrator 321-890-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2023-08-10 |