| NPI | 1235673039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BLAINE SCHMIDT Mgrm 305-310-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL SW12706) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |