| NPI | 1932412368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL R GRANT Medical Director 407-350-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME 93125) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2012-03-13 |