| Organization Name: | AMBULATORY CARE CLINIC L.L.C |
| NPI Number: | 1215208632 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH FLOWER (MEMBER-MANAGER) |
| Mailing Address: | 1619 Sixth St St Thomas |
| State: | VI US |
| Postal Code: | 008022635 |
| Phone Number: | 3406437233 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2012 |
| NPI Last Update Date: | 06/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 1-16363-1L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |