| NPI | 1881126654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSVANY MORAN Owner 813-862-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC10970) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |