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 |