| NPI | 1700058534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT BALDASARE Principle Partner 407-381-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2021-03-10 |