| NPI | 1598636110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE DEWEY BOESEL Manager 561-644-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |