| NPI | 1881182335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEI PRYTKOV Owner 904-438-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL 1086417338) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-10-29 |