| NPI | 1730420613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D IMFELD Owner 407-797-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME59982) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2013-07-23 |