| NPI | 1083246441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ROMSKA Authorized Official 352-353-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-10 |