| NPI | 1114430949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA DE LA ROSA CEO 813-769-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 208D00000X General Practice | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-08-01 |