| NPI | 1467774166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL WILEY Physician 954-821-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS 10690) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |