| NPI | 1881131662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CARPENTER Office Manager 954-868-1563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 0058017) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |