| NPI | 1780025635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L MOSS Executive Director 850-431-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL 4080) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2021-04-30 |