| NPI | 1922342906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS CRUZ President/Medical Director 813-876-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2022-03-23 |