| NPI | 1508066465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT K VIJAPURA Owner 904-733-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME59803) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |