| NPI | 1851119804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABELARDO SUAREZ Owner 813-867-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |