| NPI | 1447928312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY H GREEN Owner 727-324-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-03-01 |