| NPI | 1376775049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HUSEBOE President 954-410-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |