Organization · NPI-2

Convenient Walk In Medical Clinic INC

Family Medicine · Ruskin, FL

NPI number1871798587
StatusActive
Last updated in NPPESSep 26, 2007

Details

NPI
1871798587
Entity type
Organization (NPI-2)
Legal business name
Convenient Walk In Medical Clinic INC
Organization subpart
No
Enumeration date
Jun 21, 2007
Last updated
Sep 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME31419FLYes

Practice location

1611 E Shell Point Rd
Ruskin, FL 33570-5087

Phone 813-659-2502 · Fax 813-659-2584

Mailing address

1611 E Shell Point Rd
Ruskin, FL 33570-5087

Phone 813-659-2502 · Fax 813-659-2584

Authorized official

Brian Clukie
Administrator
8136592502

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