| NPI | 1992558431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONETTA DOTSON President 352-213-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 133V00000X Dietitian, Registered | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-11 |