| NPI | 1083885362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA OLDHAM Authorized Official 786-280-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME81045) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2026-04-03 |