| NPI | 1942692058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN M GROSSMAN Physician 954-962-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL FLME0041670) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL FLME0041670) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |