| NPI | 1033247614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA FERNANDEZ-GARCIA Owner Provider 813-788-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME53193) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |