| NPI | 1932173283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T. PAINE President 321-727-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0050830) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2009-03-25 |