| NPI | 1174324495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WILLIAM BERRIOS Owner/Manager 813-791-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-03-22 |