| NPI | 1417212366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DARRELL BUCHANAN Owner/Doctor 239-362-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL CH9348) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |