| NPI | 1467721985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAS VISHNU JOSHI Owner 904-708-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME73086) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2015-04-02 |