| NPI | 1417179086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PLAZEWSKI Office Manager 813-874-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-04-27 |