| NPI | 1891943742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DURETZ Billing Manager 954-366-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY3266) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-11-14 |