| NPI | 1619596517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA R SHORT-RUSSELL Director Of Business Development 863-529-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 364SA2100X Clinical Nurse Specialist, Acute Care | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |