| NPI | 1235371022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANNE RODRIGUEZ TEJADA Owner 813-935-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC 4406) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |