| NPI | 1164857876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX WIDLACKI CEO 727-871-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL OS11223) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2020-09-01 |