| NPI | 1417218090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MADDEN President 941-373-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME113116) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-09-25 |