NPI | 1356131486 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA MICHELLE KING Owner 321-229-4107 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
261QI0500X Clinic/Center, Infusion Therapy | |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-05-12 |