| NPI | 1144462110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN L LOPER Business Office Analyst 850-315-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0038803) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-07-17 |