| NPI | 1306058144 |
|---|---|
| Doing Business As | AGUSTIN A. MARTIN |
| Entity Type | Organization |
| Authorized Contact | AGUSTIN ALFONSO MARTIN President 813-849-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME56110) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-03-21 |