| NPI | 1972797363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA R. WISNIEWSKI Office COO Rdinator 727-392-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME73928) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-03-07 |