NPI | 1073971206 |
---|---|
Doing Business As | LIFE CARE CLINIC |
Entity Type | Organization |
Authorized Contact | TIMOTHY MATTHEW EVERETT Director 239-322-0066 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME112097) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME112097) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |