| NPI | 1508257692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED A ASAD Owner 904-404-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME93143) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2019-02-11 |