| NPI | 1962192716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ACOSTA President 727-877-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-05-28 |