| NPI | 1467990028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSWALD WILLIAMS President 727-800-9958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME62503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME62503) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |