| NPI | 1972647634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELA GARCIA LEYVA President 727-823-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0036410) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-11-13 |