| NPI | 1215193859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMARAO MAKKENA Psychiatrist 407-932-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME93520) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME93520) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2013-10-31 |