| NPI | 1700808698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO H. SAA Director 813-875-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME34182) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2024-12-04 |