| NPI | 1053790246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ROBERT MICHAELS Owner 904-434-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME117337) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-12-11 |