| NPI | 1831466846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRTIKUMAR J PANDYA Owner 813-353-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2012-02-07 |