| 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 |