| NPI | 1548273139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA S. GAUCHAT Administrator 407-348-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |