| NPI | 1902125297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER GONZALES Owner 813-374-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MM24812) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |