| NPI | 1487252235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LIVINGSTON Administrator 561-498-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2021-05-19 |