| NPI | 1033451380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN SHANE LONG Member Managed 904-342-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME109167) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-05-18 |