| NPI | 1285667907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN ZARANEK Office Manager 239-430-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME25371) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |