| NPI | 1275640997 |
|---|---|
| Doing Business As | ADVENTHEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CORY DOMAYER VP 383-231-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-02-26 |