| NPI | 1942623046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER FAKADEJ President 561-265-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |