| NPI | 1033436381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO ANDRES HERNANDEZ Physician 813-879-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME19886) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-06-15 |