| NPI | 1326226812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M HERNANDEZ Billing Representative 561-296-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |