| NPI | 1053754028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P. HOSTLER Director/CEO/President 703-359-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC9758) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL 23433) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2020-10-21 |