| NPI | 1881158939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MASOOM QURESHI President/Physician 863-547-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2023-04-17 |