| NPI | 1902778459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WASEF Medical Director 727-723-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |