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 |