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 |