| NPI | 1235421058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MICHAEL FALCONE Officer 407-740-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0002181) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-25 |