| NPI | 1396602157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEIS MENENDEZ SUAREZ Owner/Manager 813-966-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |