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 | 2020-06-17 |