| NPI | 1033383575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIENVENIDO BEFITIL NARTATEZ Manager 813-541-7936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AL11133) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |