| NPI | 1922532084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRECIA DORE Owner 813-322-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME100242) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2017-04-16 |