| NPI | 1598425233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA BLANCO Managing Member 352-504-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-03-18 |