PHYSICIANS IMMEDIATE CARE SOUTHWEST, LLC

PORT ST LUCIE, FL
NPI1063808301
Entity TypeOrganization
Authorized ContactKENNETH PALESTRANT
CEO
772-343-1776
Organization Subpart ?Yes
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
(Licence: FL  HCC5630)
Enumeration Date2015-04-14
Last Update Date2015-04-14
Business Address
PHYSICIANS IMMEDIATE CARE SOUTHWEST, LLC
4007 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953-5679
Phone number: 772-343-1774
Mailing Address
PHYSICIANS IMMEDIATE CARE SOUTHWEST, LLC
4007 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953-5679
Phone number: 772-343-1774