| NPI | 1912673419 |
|---|---|
| Doing Business As | CARESPOT-EAST SAND LAKE |
| Entity Type | Organization |
| Authorized Contact | SIERRA MANNING Credentialing Coordinator 904-900-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |