| NPI | 1083588081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN JANE GOMEZ Owner 407-717-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |