| NPI | 1588856306 |
|---|---|
| Doing Business As | FAIRMOUNT WALK-IN MED CLINIC |
| Entity Type | Organization |
| Authorized Contact | CIRILO M SERALDE Owner/Trustee 863-382-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME0043253) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2013-01-10 |