| NPI | 1306897954 |
|---|---|
| Doing Business As | OUTPATIENT MED-PSY CARE |
| Entity Type | Organization |
| Authorized Contact | VIVIAN D.J. GONZALEZ-DIAZ President 786-220-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5395) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY5395) |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-07-02 |