| NPI | 1447355748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES GAMBERINO Owner 352-291-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 74599) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |