| NPI | 1427338680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN A GOMEZ Owner 954-766-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME97741) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME97741) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2014-01-13 |