| NPI | 1255849055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVIN PATIDAR President 813-441-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2024-03-22 |