| NPI | 1386022648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOBAL R ROSARIO CEO 727-786-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME68810) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |