| NPI | 1689097982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGOBERTO MEDINA Owner 813-784-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL AL11421) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |