| NPI | 1457481418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L GOLD Owner 321-984-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME42130) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |