| NPI | 1477744548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MISSIGMAN COO 352-328-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-01-26 |