| NPI | 1114168903 |
|---|---|
| Doing Business As | PROFESSIONAL DRIVERS MEDICAL DEPOT |
| Entity Type | Organization |
| Authorized Contact | MIKE CRABTREE CEO 853-531-1542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |