| NPI | 1932149457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN J DEGIROLAMO Billing Manager 941-751-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME76952) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-03-25 |