| NPI | 1508042557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LINDENBERGER Administrator 941-637-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: FL ME53510) |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2008-05-14 |