| NPI | 1124028915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULLIUS ILAO ANCHETA President/Physician 941-412-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME80512) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2009-11-23 |