NPI | 1598995599 |
---|---|
Entity Type | Organization |
Authorized Contact | TYRONE MCCLOUD Executive Director 904-202-5367 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology |
Enumeration Date | 2009-07-24 |
Last Update Date | 2025-10-07 |