| NPI | 1457781213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUBERT ZACHARY President 904-281-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |