| NPI | 1306646906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS BAUZA-CRUZ Office Manager 813-413-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-09-22 |