| NPI | 1750633582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZABEEDA PERSAUD Office Manager 407-922-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME43417) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |