| NPI | 1013145192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASRID M SANDE Psychiatrist 321-751-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME101874) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |