| NPI | 1275214363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JON PAMER Medical Director 772-785-5864 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-07 |