| NPI | 1295890291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE F FERNANDES President 954-943-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL HCC4989) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |