| NPI | 1245665785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSMANY CUELLAR DUQUE Adm 813-872-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL mm25648) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2016-06-08 |