| NPI | 1093493637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J PETTIJOHN SVP CFO 407-357-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-09-15 |