| NPI | 1578757878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER DEJESUS President 941-921-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME0077137) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-12-20 |