| NPI | 1992079495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE PINARD Owner 813-971-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME77446) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |