| NPI | 1376848887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE HERNANDEZ Medical Director 813-985-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME54314) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-09-21 |