| NPI | 1912957697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNE ZYGALA Credentialing Manager 954-956-1966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-12-15 |