| NPI | 1912240433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PATRICK EASTERLING President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |