| NPI | 1215475025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COLEN Credentialing Manager 305-235-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-03-17 |