| NPI | 1558606442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFTAB QADIR Manager 407-246-6620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME62388) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |