| NPI | 1205272556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITE BEATRIZ DIAZ-PINO Psychiatrist 352-336-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME58572) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |