NPI | 1700292547 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE RICHARD HILL CEO 407-780-6401 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2014-07-01 |
Last Update Date | 2015-08-14 |