| NPI | 1679562797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBA FLORES Practice Manager 407-734-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 6722) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QM0801X | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-08-24 |