| NPI | 1982814893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARDSON BOONE Sole Member 727-944-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY04361) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-12-14 |