| NPI | 1841724861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT EZUGHA President/Provider 407-775-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME127563) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-11-28 |