| NPI | 1598159923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIANO AGUILA PEREZ Owner 813-888-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9428) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |