NPI | 1205571015 |
---|---|
Doing Business As | ST FRANCIS PRIMARY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | DAVID P WAGNER Chief Financial Officer 321-204-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-05-05 |
Last Update Date | 2023-02-03 |