| NPI | 1043546922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASIN CHOUDRY Owner 352-577-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL ME 96757) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2012-05-29 |