| NPI | 1609965441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S. GONZALEZ Chief Administrative Officer 813-854-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-01-31 |