| NPI | 1588804843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BALANDRA President 941-371-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL RN13479662) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me10232) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2012-02-29 |