| NPI | 1942806260 |
|---|---|
| Former Legal Business Name | RED TAG-19 LLC |
| Entity Type | Organization |
| Authorized Contact | LATA SHINTRE CEO/Founder 954-482-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-11 |