| NPI | 1417294158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDEGARDE GEISSE Owner 561-310-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME96190) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME96190) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL ME96190) | |
| 204R00000X Electrodiagnostic Medicine (Licence: FL ME96190) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2015-03-16 |