| NPI | 1720231558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO RAMOS Owner 813-374-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7072) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |