| NPI | 1043534670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD WEIGLEY President 407-339-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME002614) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |