| NPI | 1538464839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY BERRY Director 561-330-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |