| NPI | 1477039857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEZABELL FIGUEROA Authorized Official 813-630-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |