| NPI | 1689090300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GHANEM Chief Operating Officer 239-687-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2017-11-03 |