| NPI | 1497868806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANDITA SHANKAR Neurologist 954-475-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: FL ME64830) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-04-27 |