| NPI | 1508101619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA GOEBEL President 772-546-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL OS8519) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |