| NPI | 1215702535 |
|---|---|
| Doing Business As | PREVENTATIVE HEALTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | GLADYMAR VRKIC COO 813-610-9031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-08-20 |