| NPI | 1568713857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM GONZALEZ General Manager 813-933-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 253095) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |