| NPI | 1427755503 |
|---|---|
| Former Legal Business Name | PRINCIPAL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LUCISMEY PERERA ALONSO Owner 813-760-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |