| NPI | 1073576146 |
|---|---|
| Doing Business As | LAKE REGIONAL URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | RAYMOND DOMINICK Owner 352-315-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-05-09 |