| 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 |