| NPI | 1467014431 |
|---|---|
| Doing Business As | VIA HEALTH |
| Entity Type | Organization |
| Authorized Contact | DANIELLE LYNNE FRALEY Office Manager 321-622-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |