| NPI | 1609191956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALLEN President 407-362-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2011-01-21 |