| NPI | 1700063708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J PRUSINSKI Physician 321-421-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL os0005640) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-02-20 |