| NPI | 1619257755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PETERKIN WALLACE President/CEO 813-508-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: FL BTR-0029514) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2011-08-21 |