| NPI | 1962776526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CARLOW Office Manager 561-833-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0046672) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |