| NPI | 1851849970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO MARTINEZ-CHAVEZ President 813-443-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC10736) |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2016-09-18 |