| 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 |