| NPI | 1821562406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON CAMPO Corporate Manager/Owner 352-875-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-01-03 |