| NPI | 1992781041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT M ROSENTHAL Provider/Owner 407-296-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2009-05-06 |