| NPI | 1760004501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL EDUARDO MONTEJO Owner/Neurologist 772-528-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-15 |