| NPI | 1124456587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KROTENBERG Managing Member 407-324-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL os4985) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |