| NPI | 1821401613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA S SPENCER President 321-652-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 93302) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |