| NPI | 1306162763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WESLEY BUTTERS Sole Member/Owner 863-412-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL SA7071) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2010-04-10 |