| NPI | 1902491442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHABELI LOVAGINI CASTILLO President 813-365-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103T00000X Psychologist |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2024-07-10 |