| NPI | 1750682944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE M MARTINEZ-DELIO Mgmr 813-839-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0053353) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |