| NPI | 1578012035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROTHSTEIN CFO 772-934-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2018-07-10 |