| NPI | 1497278584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LUING Mgr 352-339-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME95498) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |