| NPI | 1982179222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MALONSON Chief Operating Officer 239-353-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-12-11 |