NPI | 1174828313 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY ALVARO FERNANDEZ President 813-876-0502 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0008628) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2011-01-19 |