| NPI | 1821636457 |
|---|---|
| Former Legal Business Name | WALKIN CLINIC AT LARA MEDICAL CORP. |
| Entity Type | Organization |
| Authorized Contact | MARIA NAKAMURA Owner 352-861-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2022-10-28 |