| NPI | 1528141710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR R CORZO Owner 727-541-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me98956) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL me27258) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0035773) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me27258) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME0035773) | |
| 363L00000X Nurse Practitioner (Licence: FL 830052) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2786242) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 888372) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2835092) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 830052) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 1731582) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-08-13 |