| NPI | 1891240693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVINA V VENKOVA-GONZALEZ Owner 813-966-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP9364586) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |