| NPI | 1366957482 |
|---|---|
| Doing Business As | ELLENTON URGENT CARE |
| Doing Business As | BAYSHORE URGENT CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER N PETREAS Member 941-400-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-08-23 |