NPI | 1942553821 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID THOMAS WILLIAMS Medical Director 321-735-8960 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL os6588) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2021-07-14 |