| NPI | 1124915061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BARNETT Owner 813-680-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2026-04-04 |