| NPI | 1184270258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT EZUGHA Owner 407-775-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |