| NPI | 1053188417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO ANTONIO MEYRELES CHALJUB Md 813-931-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-05-14 |