| NPI | 1316761257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W BERRIOS Managing Partner/Owner 813-644-2463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-03-04 |