| NPI | 1053612960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT RODRIGUEZ President 813-908-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0048061) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |