| NPI | 1780958314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINER FERRER Manager 904-232-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MM 28433) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-06-15 |