| NPI | 1477641959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REENA J. KAVILAVEETTIL President 813-972-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME92765) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-07-02 |