| NPI | 1144548611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TRAN President 352-337-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL me92893) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: FL me92893) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me92893) | |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2014-02-11 |