| NPI | 1861778789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E. HOWARD Owner/President 239-596-6904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME78309) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2012-01-26 |