| NPI | 1639620651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER SANTANA CEO 727-827-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL DN11200) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |