| NPI | 1972808715 | 
|---|---|
| Doing Business As | SEBASTIAN FAMILY WALK-IN CARE | 
| Entity Type | Organization | 
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 363L00000X Nurse Practitioner | 
| Enumeration Date | 2011-01-25 | 
| Last Update Date | 2012-11-27 |