| NPI | 1861895831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSHIL PUSKUR President 352-369-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 99963) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 99963) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2015-10-02 |