| NPI | 1992318521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VESTA ANILUS Medical Director 941-800-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |