NPI | 1356741037 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS MERCED Medical Director 813-932-1410 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME55872) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2014-08-29 |