| NPI | 1780715649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR JOEL FORMAN President 813-874-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME21268) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-10-26 |