| NPI | 1720401698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LURIAN OSORIO Administrator 813-885-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL AL-11676) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |