| NPI | 1700059623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B DEHGAN CEO/Owner 904-247-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME16903) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2011-05-12 |