| NPI | 1285812362 |
|---|---|
| Other Name | PA |
| Entity Type | Organization |
| Authorized Contact | SETH T JOHNSON President 321-207-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL os5330) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2014-02-13 |