| NPI | 1356455000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E QUINONES Owner 904-886-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 60608) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME60608) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-11-09 |