| NPI | 1124057955 |
|---|---|
| Doing Business As | LIBERTY WALK IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMARJIT S. DHALIWAL CEO President 813-689-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME59912) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME96113) |
| 207Q00000X Family Medicine (Licence: FL ME98549) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-05-23 |