| 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 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |