| NPI | 1841653805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA HERNANDEZ Office Manager 954-203-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 111N00000X Chiropractor | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |