NPI | 1619703691 |
---|---|
Entity Type | Organization |
Authorized Contact | KEILA HOOVER Owner 305-433-7419 |
Organization Subpart ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2024-09-09 |
Last Update Date | 2025-04-02 |