| NPI | 1679517908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHAA GERGES President 813-713-3695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-05-23 |