NPI | 1700144052 |
---|---|
Entity Type | Organization |
Authorized Contact | LOU ELLEN HORWITZ Executive Director 813-777-6453 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: NM 4566556) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-04-24 |