| NPI | 1679887988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOPAL TATAMBHOTLA Owner 352-527-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME72857) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |