NPI | 1871543512 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE GARNER Administrator 239-262-8971 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 207T00000X Neurological Surgery |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2024-04-11 |