| NPI | 1932195187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LABATH Office Manager 941-488-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS8175) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1799382) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2025-11-10 |