NPI | 1437960077 |
---|---|
Entity Type | Organization |
Authorized Contact | SANLLY PEREZ CEBALLOS President 813-296-6266 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |