| NPI | 1144770306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN LINDA PEGRAM Ap RN 305-725-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 3010709) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |