| NPI | 1316790942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MICHELLE DAVIDSON Clinical Neuropsychologist 407-793-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |