| NPI | 1306247093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAY ANTOINETTE BLAIR-BRITT Family Physician 386-615-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME60233) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |