| NPI | 1871546689 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RICHARD MAHLON UNGER Owner/Physician 321-725-6999 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME80168) | 
| Enumeration Date | 2006-05-19 | 
| Last Update Date | 2013-01-17 |