| NPI | 1386920601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOVIS RAYMOND Md 561-324-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 253550) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |