| NPI | 1538372131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA GONZALEZ MAYO Owner 727-327-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME60523) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |