| NPI | 1447492830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO PORTAL Manager 813-734-9218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7342) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |