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 |