| NPI | 1831061340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO GONZALEZ MIGUEL Owner 813-360-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |