| NPI | 1689272353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ADAMS Owner 941-360-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |