| NPI | 1023685922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA SHCHUKINA Nurse Practitioner 321-356-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |