| NPI | 1043390651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E ALEN Principal Officer 352-732-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0060291) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-03-09 |