| NPI | 1730567934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUMARY CARMENATE Financial Officer 813-892-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 10344) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |