| Organization Name: | PHYSICIAN'S WALK IN CLINIC |
| NPI Number: | 1063459238 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA HOWELL (ASSISTANT ADMINISTRATOR) |
| Mailing Address: | 24420 State Road 54 Lutz |
| State: | FL US |
| Postal Code: | 335597303 |
| Phone Number: | 8139482453 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |