| NPI | 1700628559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ZAMAN Director Of Medical Quality 239-208-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |