| NPI | 1780204610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MOORE Coe/ Medical Director 407-496-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |