NPI | 1477375574 |
---|---|
Doing Business As | HEATHROW INTEGRATIVE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | WIESLAW JAN FALISZEWSKI President 407-733-3796 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-10-29 |
Last Update Date | 2024-10-29 |