| NPI | 1568030138 |
|---|---|
| Doing Business As | MEMORIAL DIVISION OF PEDIATRIC REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | ESTHER SURUJON CFO Memorial Physician Group & Mpc 954-265-6677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-07-28 |