| NPI | 1972050839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL FUENTES-ZAPATA Owner 727-804-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL SA11672) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL SA11672) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-11-06 |