| NPI | 1396379426 |
|---|---|
| Former Legal Business Name | ST GEORGE HEALTH PARTNERS CORP |
| Entity Type | Organization |
| Authorized Contact | OTTO ELCORO Owner 786-446-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |