| NPI | 1316116114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO WASHINGTON COSMA Owner 727-441-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME18063) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |