| NPI | 1346514908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GHANEM COO 239-768-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2022-12-16 |