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 |