| NPI | 1609287523 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LINDA MARIA DORREMOCEA Owner 813-541-3229  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11721)  | 
| Enumeration Date | 2014-05-13 | 
| Last Update Date | 2014-05-13 |