| NPI | 1538401492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L STEDMAN Owner 813-971-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME54031) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2018-07-23 |