| NPI | 1770445298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYELIN VEGA AQUINO Owner 813-408-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |