| NPI | 1215096383 |
|---|---|
| Other Name | LONGEVITY REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL R ST MARY Director Of Operations 772-978-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC5143) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |