| NPI | 1346592094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MCGEE President 239-207-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL OT10768) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |