| NPI | 1962444372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL GONZALEZ Office Manager 352-254-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME86321) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-06-25 |