| NPI | 1053077560 |
|---|---|
| Other Name | VILLAGE MEDICAL - PINELLAS PARK SOUTHEAST |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Director 713-461-2915 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |