NPI | 1063808301 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH PALESTRANT CEO 772-343-1776 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL HCC5630) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-04-14 |