| NPI | 1891010138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J CASANAS Medical Doctor 813-888-8902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL MM24523) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |