| NPI | 1164744173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH MACHLER Office Manager 727-381-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME00012370) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-05-04 |