| NPI | 1003078221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ROJAS President 813-802-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL 228082) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2008-06-29 |