| NPI | 1609276203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEYDYS SALGADO CARDOSO Medical Director 941-313-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME113267) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME113267) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |