| NPI | 1629995436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEESHA TAMARA MARIA HAMILTON-FOWLER Pmhnp 407-850-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |