| NPI | 1073108460 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP SEMINOLE SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |