| NPI | 1730537580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA NGUYEN Md 850-888-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD 18530) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |