| NPI | 1114819620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD DEIB Owner 407-409-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| 2084V0102X Psychiatry & Neurology Vascular Neurology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-08-21 |