| NPI | 1063983138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M GIORGIANNI Medical Director/Owner 321-622-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |