| NPI | 1306018494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CARLOS RODRIGUEZ Owner 352-597-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME55131) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |