| NPI | 1023089067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZRA ULLAH Office Manager 407-226-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME71135) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2013-12-04 |