| NPI | 1376806554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL SIMON CANELLAS President 305-608-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME112149) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME112149) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2017-11-29 |