| NPI | 1861505208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANO AUGUSTINE MARTINEZ Owner President 813-870-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0032863) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-09-14 |