| NPI | 1427101658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURELIO A. MUZAURIETA President/Technical Director 904-737-5792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC4403) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| 231H00000X Audiologist | |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-09-26 |