NPI | 1942317896 |
---|---|
Doing Business As | BRAIN AND SPINE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KYLIE M MARLETTE Credentialing Specialist 850-215-1593 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2006-08-25 |
Last Update Date | 2023-05-01 |