| NPI | 1275723413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ANDREW GONZALEZ President 305-773-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 231414) |
| Additional Taxonomies | 2084N0600X (Licence: MA 231414) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |