| NPI | 1841660164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO PEDRO MORFFI Pd 813-507-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL HCC10428) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |