| NPI | 1356513055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA BOX Office Manager 352-337-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5842) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |