| NPI | 1043712490 |
|---|---|
| Doing Business As | LISANDRA MONTEAGUDO |
| Entity Type | Organization |
| Authorized Contact | LISANDRA MONTEAGUDO Owner/Administrator 813-316-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 020492400) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-06-16 |