| NPI | 1437685930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARD O ANDRADE President 352-260-7346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |