| NPI | 1164766002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RAMON FORADADA President 813-874-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: FL ME0056885) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP3390982) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9263175) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |