| NPI | 1407693989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN READE President 904-916-1714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |