| NPI | 1366254211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLAN BRADLEY CEO 239-292-6498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-05-22 |