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 |