| NPI | 1215218532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK H DANG Manager 407-851-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME107101) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2012-11-01 |