| NPI | 1174061113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA HERNANDEZ Manager 954-203-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |