| NPI | 1861784563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SUITE Owner 305-382-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME59343) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |