| NPI | 1366060006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA E ESPINOZA-CRUZ President 813-353-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2023-08-10 |