| NPI | 1922488675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE SCHRADER General Manager 305-466-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME75290) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME75290) |
| 175F00000X Naturopath (Licence: FL me75290) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME75290) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME75290) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |