| NPI | 1477945814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L RITCH Sole Owner 727-209-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS0006566) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2016-12-12 |