| NPI | 1083073092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAG V DESAI Owner/Authorized Member 904-955-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 103568) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 103568) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-06-02 |