| NPI | 1487974713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RODGERS GLORIOSO Owner/ Administrator 813-735-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AL11771) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |