| NPI | 1902010663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A HERNANDEZ President 786-282-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME83014) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-09-29 |