| NPI | 1619697216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZI AHMED Owner 813-995-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |