| NPI | 1225395668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CLYDE FISCHER President 305-696-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME24675) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |