| NPI | 1437688033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE LAWSON COO/Manager 813-549-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |