| NPI | 1659392900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A WALD Owner 954-772-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME 83180) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-10-03 |