| NPI | 1457701369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNA L VASS President 941-275-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL L16000108750) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2026-06-27 |