| NPI | 1750197091 |
|---|---|
| Doing Business As | SEASIDE HEALING DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER VIVAS Owner 772-486-5713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |