| NPI | 1033448030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DIAMANTIDES Owner 813-443-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7836) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |