| NPI | 1740605393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E. HOLCOMB Sole Proprietor 813-313-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS4970) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |