| NPI | 1629702717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI ELIZABETH DOMNITZ-GEBET Physician 813-450-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-25 |