NPI | 1083463129 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE GREEN EVP/CFO 863-687-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-10-08 |