NPI | 1386999589 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN CARLOS BAYOLO Propietary 813-605-0662 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ACN247) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2015-09-15 |