| NPI | 1295075372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNY EXCELLENT Owner 727-385-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: FL ME 58124) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |