| NPI | 1285290130 |
|---|---|
| Doing Business As | TGH URGENT CARE CENTER POWERED BY FAST TRACK |
| Entity Type | Organization |
| Authorized Contact | DARON G. DIECIDUE Member Manager 813-925-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-12-21 |