| NPI | 1841754959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANTI TATINI Medical Doctor 850-205-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-09-16 |