| NPI | 1134539273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E BELLUCCIO Owner 813-964-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AP1690) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |