| NPI | 1871004960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA TERESA SANTANA Owner 954-895-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY9518) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2019-04-24 |