| NPI | 1750553160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MARIA GOMEZ President Owner 904-332-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME 37948) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2010-08-30 |