| NPI | 1952596884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO GUTIERREZ President 407-856-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL N/A) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |