| NPI | 1871118380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EINAR SYLVESTER President 941-444-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 208D00000X General Practice | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-10-02 |