| NPI | 1740511120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR R COLLAZO-RAMIS Director 813-484-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME67822) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |