| NPI | 1417192907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHODHAN A PATEL Psychiatrist 813-966-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME65091) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2015-11-10 |