| NPI | 1124151931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M FARHAN SIDDIQUI President 561-638-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME72476) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY6865) |
| 103T00000X Psychologist (Licence: FL PY6865) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY6865) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-03-02 |