| NPI | 1114439387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN E STEINMEYER Office Manager 407-756-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-28 |