| NPI | 1730634643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN FISHMAN Member 954-551-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS9439) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |