| NPI | 1700066016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID LIPP President 904-296-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL CH9014) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |