| NPI | 1942688767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN L TANNENBAUM Owner 239-549-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-20 |