| NPI | 1073743597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO J CASANAS General Medicine 813-443-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 23309) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |