| NPI | 1972662286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANDREW SHYDOHUB Doctor 863-382-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL me0061680) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |