| NPI | 1104836600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R RODRIGUEZ Chief Financial Officer 813-349-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-07-20 |