| NPI | 1013068527 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT KENNETH WINEGAR Psychologist President 941-953-4313 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL 6215) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 6215) | 
| Enumeration Date | 2007-01-13 | 
| Last Update Date | 2011-08-19 |