| NPI | 1164630091 |
|---|---|
| Doing Business As | FORT PIERCE WALK IN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY STUART GOTTRIED Owner Physician 772-464-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0S7057) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-05-08 |