| NPI | 1750625471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINO B FERNANDEZ Owner 305-322-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME39453) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME39453) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME39453) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-12-07 |