| NPI | 1295947323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY DELOACH Practice Manager 772-398-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: FL HCC1152) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-01-20 |