| NPI | 1346829041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILADYS ALBOLAY IGLESIAS Ap RN 941-451-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |