| NPI | 1609676360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANTOR Manager 407-329-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |