| NPI | 1104291756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKIE ESTEBAN VALLE Managing Partner 813-701-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME85148) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2016-09-22 |