| NPI | 1770594665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK M PATEL Secretary Treasurer 727-518-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-09-23 |