| NPI | 1720358237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY-ANN BERNARD-PANTIN President 352-256-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 81744) |
| Enumeration Date | 2012-01-01 |
| Last Update Date | 2012-01-01 |