| NPI | 1881969137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA NIETO Owner 813-968-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AP2220) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |