| NPI | 1164830634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN MCKEE Chief Operations Officer 727-724-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107758) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2024-06-21 |