| NPI | 1093002420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN A GOMEZ Owner 954-604-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME97741) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |