| NPI | 1275658528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA VALLABHANENI Doctor 954-796-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME81289) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-09-01 |