| NPI | 1649009879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAY HUSEBOE CEO 954-410-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-07-27 |