| NPI | 1649432865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA CAMARA President 813-802-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL 229917) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2009-01-27 |