| NPI | 1679701064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE E ATWELL Office Manager 772-286-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME104153) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8186) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9174934) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-01-04 |