| NPI | 1033722780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ERIC PATEL Authorized Member 727-203-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-02-07 |