| NPI | 1053407734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A C MAIER Medical Director 386-325-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME0022140) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |