| NPI | 1528736071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNY E PAULEY COO 786-924-1311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |