| NPI | 1497093454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF ABU AFFAN Medical Doctor 904-616-2772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 305S00000X Point of Service (Licence: FL ME99311) |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2014-03-28 |