NPI | 1073840435 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS D DEWEY President 904-276-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME47968) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2011-01-06 |