| NPI | 1902491228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MOHAMED Owner 863-450-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| 207Q00000X Family Medicine | |
| 251F00000X Home Infusion | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 341600000X Ambulance | |
| 3416L0300X Ambulance, Land Transport | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-03-02 |