NPI | 1043033160 |
---|---|
Doing Business As | ADVENTHEALTH PRIMARY CARE PLUS FOREST CITY COVE |
Entity Type | Organization |
Authorized Contact | SCOTT C BRADY President 407-200-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-11-06 |
Last Update Date | 2024-11-14 |