| NPI | 1548775273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATAMIA M WHITE-GREEN Psychiatrist 863-937-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |