| NPI | 1215755277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL MATOS Owner 813-473-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-04-16 |