| NPI | 1376700278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE R HUBBARD Owner 941-922-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL ME0054430) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |