| NPI | 1376500744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E DIAZ Practice Manager 239-287-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME70436) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2019-08-05 |