| NPI | 1497879373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOOSHANG HOOSHMAND Administrator 772-770-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: FL ME0021496) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |