| NPI | 1235328998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON D MIDDLETON Billing Office Manager 727-321-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0034037) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2014-04-15 |