| NPI | 1295262137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA MENDOZA Psychiatrist 386-254-2637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ACN216) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-06-11 |