| NPI | 1780485979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS VIRGINIA VAZQUEZ GUACH Managing Member 813-451-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |