| NPI | 1073536066 |
|---|---|
| Doing Business As | SANFORD CLINIC FAMILY MEDICINE BRANDON |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-06-26 |