| NPI | 1659781300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HENRY BAUGHMAN Partner 904-853-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 19458) |
| Enumeration Date | 2014-05-04 |
| Last Update Date | 2016-05-05 |