| NPI | 1265709422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET NMN ENGEL Owner/Registered Agent 352-281-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CO 0004999) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2022-07-21 |