| NPI | 1013275403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUELLEN HORWITZ Executive Director 813-777-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MA 1071086) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |