| NPI | 1255835211 |
|---|---|
| Former Legal Business Name | PANACEA MEDICAL ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | JARROD JAMES STOLDT President 321-917-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |