| NPI | 1437741824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASREEN RAZACK-MALIK Owner 321-276-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2024-07-30 |