| NPI | 1063655041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE GEARIN SEAY Office Manager 321-383-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME58817) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2010-07-20 |