| NPI | 1336674118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALITA G SIKORA Physician/Owner 772-410-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME99541) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-08-31 |