| NPI | 1528674447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS WALE President 813-758-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-06-11 |