| 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 |