| NPI | 1518436989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YISEL ZEQUEIRA Administration 239-302-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-01-22 |