| NPI | 1952298747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KORE DARLINGTON Owneere 321-313-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |