| NPI | 1295843878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALITHA E JACOB Owner 727-528-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME62238) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-07-18 |