| NPI | 1942321963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PAUL PAGES President 813-878-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0076178) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-11-02 |