NPI | 1013377795 |
---|---|
Doing Business As | NATURE COAST PROVIDER OUTREACH |
Entity Type | Organization |
Authorized Contact | KENNETH L SAVAGE Owner 352-436-4328 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10486) |
Enumeration Date | 2016-02-24 |
Last Update Date | 2020-06-16 |