| NPI | 1174690762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY M KOSLOWSKI Owner President 904-367-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0062907) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-09-26 |