NPI | 1164736831 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL P. STEIN President 941-400-1211 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME63693) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2012-04-30 |