| NPI | 1801273339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KANDEL Owner 239-596-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME55307) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2021-02-22 |