| NPI | 1578616371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINIO CUERVO President 863-647-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME0031030) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-01-12 |