NPI | 1851275747 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY MARGARETH CAVERO Medical Technologist 813-784-1711 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0400X Clinic/Center, Rehabilitation | |
261QP2000X Clinic/Center, Physical Therapy | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |