| NPI | 1710133467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS POLANCO Billing Manager 561-296-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2010-03-02 |