| NPI | 1972972800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS MALONE Owner/Physician 772-581-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: FL ME99007) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |