| NPI | 1972788669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN E. FLYNN Partner 941-205-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL L07000124924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7783) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL L07000124924) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME86547) | |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2018-05-17 |