| NPI | 1265855936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA JULIA MEDINA RODRIGUEZ Manager 813-505-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL AL 12263) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |