| NPI | 1679726889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN E GROBLEWSKI Practice Administrator 904-514-9510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-11-20 |