NPI | 1124236922 |
---|---|
Doing Business As | AZALEA HEALTH |
Entity Type | Organization |
Authorized Contact | LAURA M SPENCER President/Chief Executive Officer 386-328-0108 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2007-05-18 |
Last Update Date | 2013-06-13 |