| NPI | 1356166391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ALEJANDRO LORENZ Medical Director 813-932-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-20 |