| NPI | 1538024989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GHANEM President 239-768-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |