| NPI | 1437271723 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HARRY DIAMOND KROP Medical Director 352-372-6645 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: FL PY0002364) | 
| Enumeration Date | 2007-04-06 | 
| Last Update Date | 2020-08-22 |