| NPI | 1902618077 |
|---|---|
| Other Name | PELICANO, LLC GROUP |
| Entity Type | Organization |
| Authorized Contact | GUSTAVO SEGURA HERNANDEZ Psychologist 727-834-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-03-19 |