| NPI | 1780911925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROLD J FADEM Physician 407-578-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2016-06-08 |