NPI | 1275955312 |
---|---|
Entity Type | Organization |
Authorized Contact | KACIAN S BROWN Owner 407-426-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
Enumeration Date | 2014-01-08 |
Last Update Date | 2025-06-04 |