| NPI | 1225333123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. BORTNICK CEO 352-390-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL FLPY2065) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2013-03-15 |