| NPI | 1225340789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAULIK TRIVEDI President 813-650-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 84208) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 84208) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-09-22 |