| NPI | 1659426971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERY J LOSSADA Owner 352-861-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME81160) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |