| NPI | 1982816716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA PATRICIA MARTIN President 813-873-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME88573) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2012-05-16 |