| NPI | 1023435492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE WONG Administrator 813-888-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 9347) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-07-21 |