| NPI | 1851638167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO JOSE MILLAN Owner 813-448-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2021-04-08 |