| NPI | 1194183780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IPATIA MAGNUS Phd, Pmhnp Bc 727-863-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 1961592) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-22 |