| NPI | 1780168385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HERVEY CFO 727-600-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |