| NPI | 1205969094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROLD J FADEM Medical Director 407-788-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-06-08 |