| NPI | 1588074058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA A NATHAN Owner 407-953-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA72562) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |