| NPI | 1629463997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAM LEDO Owner / President 239-465-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA 63512) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |