| NPI | 1417945957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H STAGER Medical Director 561-832-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: FL 104893) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2021-05-26 |