| 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 |