| NPI | 1790016152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO A MOONEY SOLE Owner 813-238-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7960) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |