| NPI | 1821832163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN OLSEN Chief Operating Officer 727-767-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-07-03 |