| NPI | 1548673700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE SALEM Physician/President 305-251-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ACN321) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2020-10-09 |