| NPI | 1275786865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MICHELLE LEDOUX-COTON President 813-873-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS6654) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2009-01-21 |