| NPI | 1639404643 |
|---|---|
| Doing Business As | CLINIC AT WALMART |
| Entity Type | Organization |
| Authorized Contact | DAWN SMITTE Office Assistant Wfp 321-449-4534 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |