| NPI | 1104083955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE S BENCZE Owner 813-972-6354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME47241) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-10-31 |