| NPI | 1598712234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MV BUKI Director 305-749-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME60240) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 185163) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |