| NPI | 1801203674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY E MITCHELL-VAUGHN Corporate Secretary 407-647-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2015-05-21 |