| NPI | 1457521601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR M. VAZQUEZ Physician / Owner 813-495-5648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL CH 8381) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |