| NPI | 1265826721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN L MCGUIRE Credentialing And Billing Specialis 813-501-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11197) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |