| NPI | 1649480435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAI DIAZ Owner 813-871-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC4406) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-10-10 |