| NPI | 1134633092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN BERCAW Neuropsychologist 813-603-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7991) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: FL PY7991) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-04-20 |