| NPI | 1184910143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K. WINEGAR President 941-953-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL py6215) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL py4229) |
| 1041C0700X Social Worker, Clinical (Licence: FL sw8837) | |
| 1041C0700X Social Worker, Clinical (Licence: FL sw5049) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2012-01-09 |