NACIDOS EN DIVINA MICEROCORDIA INC

RUSKIN, FL
NPI1750730867
Entity TypeOrganization
Authorized ContactJENNY I TORRES
Cheif Of Operation
813-662-4808
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
NACIDOS EN DIVINA MICEROCORDIA INC
315 S US HIGHWAY 41
RUSKIN, FL 33570-4660
Phone number: 813-662-4808
Mailing Address
NACIDOS EN DIVINA MICEROCORDIA INC
315 US HIGHWAY SOUTH 41
RUSKIN, FL 33570
Phone number: 813-662-4808