| NPI | 1528367711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY BERRY Manager 561-330-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME48746) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-10-21 |