| NPI | 1124915061 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTEN COX Ap RN Bc, Pmhnp, Agacnp 863-660-5654  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Enumeration Date | 2025-06-23 | 
| Last Update Date | 2025-10-31 |