NPI | 1780896639 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM GAYA Principal Owner 352-732-7233 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME73854) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2017-11-21 |