| NPI | 1801760715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REANNA RAMKHELAWAN Credentialing Specialist 786-281-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-22 |