| NPI | 1821429523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BOTTARI President 561-265-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME55094) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME92179) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |