| NPI | 1356554158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V DANIEL KASSICIEH President, Owner 941-955-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS5188) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-12-20 |