| NPI | 1891520359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REANNA RAMKHELAWAN Credentialing Specialist 786-281-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-10-25 |