| NPI | 1164966701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUDANY DE LAS CASAS DORTA President 813-999-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 10691) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |