| NPI | 1740916287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLAKE BAMIGBADE Registered Nurse 813-474-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |