| NPI | 1174181572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHERMAN Owner 727-220-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |