| NPI | 1962721761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND GUY GRANT President 813-971-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0037350) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-08-09 |