NPI | 1164693537 |
---|---|
Doing Business As | BROOKSVILLE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | SYED WAJAHAT ALI President 352-797-9677 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME83482) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2024-09-19 |