| NPI | 1114728185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD GOLDSTEIN Manager 561-901-0764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |