NPI | 1265157101 |
---|---|
Other Name | STE |
Entity Type | Organization |
Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-10-04 |
Last Update Date | 2022-10-10 |