| NPI | 1871524462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYN L. BENEZETTE Medical Director 386-405-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: FL HCC4232) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-05-16 |