| NPI | 1265896567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN L BUSH Owner/President 954-816-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL OS8691) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-03-07 |