| NPI | 1871733220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN GONZALEZ President 813-885-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC6422) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |