| NPI | 1902809122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DUVA President 386-274-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME47294) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-03-21 |