| NPI | 1225592603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY-ANN SIMONE LEVY Credentialiing Manager 954-993-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2024-10-11 |