NPI | 1528734043 |
---|---|
Doing Business As | CARESPOT-LEE VISTA |
Entity Type | Organization |
Authorized Contact | SIERRA MANNING Credentialing Coordinator 904-900-5436 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2021-08-17 |
Last Update Date | 2021-08-17 |