| NPI | 1922266592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA M. RUPE Mgrm/Director 772-539-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL OT9610) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-07-30 |