NPI | 1164772687 |
---|---|
Doing Business As | BAYSIDE FAMILY MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | DAVID LOWELL TERZIGNI President 352-597-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8106) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2012-09-12 |