| NPI | 1063547784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT SCIORTINO Medical Doctor 321-751-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-09-14 |