| NPI | 1194051623 |
|---|---|
| Doing Business As | MEDEX WALK-IN |
| Entity Type | Organization |
| Authorized Contact | CHARLES ROSS Owner 813-270-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME96407) |
| Enumeration Date | 2009-10-17 |
| Last Update Date | 2011-09-13 |