| NPI | 1053678847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI GERMOND Admin Assistant 813-715-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL ME31036) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-23 |