NPI | 1811208366 |
---|---|
Doing Business As | ROADSIDE MEDICAL CLINIC AND LAB |
Entity Type | Organization |
Authorized Contact | JONATHON WITHERSPOON Chief Executive Officer 941-225-2520 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2010-06-30 |
Last Update Date | 2010-06-30 |