| NPI | 1760882617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DESIREE DIAZ CALDERON Administrator 407-250-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL me109269) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2025-08-29 |