| NPI | 1164544011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD D DESHMUKH President 904-808-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME32674) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |