| NPI | 1659547263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESHAN KIBRIA Physician/Owner 239-353-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 0S0006026) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2016-02-03 |