| NPI | 1144651209 |
|---|---|
| Doing Business As | HERITAGE FAMILY MEDICINE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LORI MICHELE ELDER Practice Manager 850-981-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8505) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2016-05-04 |