| NPI | 1821238387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MONTOYA ROMERO Owner 813-374-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7224) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |