| NPI | 1679562797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBA FLORES Practice Manager 407-734-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 6722) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2025-12-24 |