| NPI | 1336696335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WIEPERT Medical Director 407-296-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: FL 9310311) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |