| NPI | 1235382599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A RAMOS Owner 813-374-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7076) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |