| NPI | 1629579339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DAMASO CRUZ Owner/Partner 813-906-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME117105) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-06-16 |