| NPI | 1568765618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN K JONES Pa President 352-331-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OO49259) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |