| NPI | 1093310872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN BEAN Director Of Medical Operations 321-802-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |