| NPI | 1790924835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M HERNANDEZ Credentialing COO Rdinator 561-626-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2021-10-07 |