| NPI | 1114734209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBINA BAKERYWALA Md 904-274-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-01-29 |