| NPI | 1003431396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE ADAMS Account Administrator 727-203-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |