| NPI | 1043261415 |
|---|---|
| Doing Business As | LAKE REGIONAL URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | RAYMOND DOMINICK Owner 352-750-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |