| NPI | 1679511364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL VICENTE MEDINA Owner 407-587-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-03-26 |