| NPI | 1275568859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI CASADONTE Office Administrator 727-498-8994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-08-31 |