| NPI | 1720648355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CHAPMAN Member 239-360-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-09-19 |