| NPI | 1487320636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE NAPIER VP, Revenue Management 321-841-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 207T00000X Neurological Surgery | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |