| NPI | 1194867374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK W GORMAN Owner 407-644-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY5141) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-08-10 |