| NPI | 1295035970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIA JOHNSON President 904-703-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: FL ME0072622) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |