| NPI | 1376941310 |
|---|---|
| Doing Business As | NBS-JAX |
| Entity Type | Organization |
| Authorized Contact | MICHELLE A PROSJE Owner 352-682-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8710) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |