| NPI | 1184190753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON LAI Healthcare Administrator 407-799-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-12-23 |