| NPI | 1073786927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DEMERY Psychologist 352-359-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7500) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY7500) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |