| NPI | 1417498122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAHMAN DEAN Owner 727-359-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME78794) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |