| NPI | 1326002551 |
|---|---|
| Former Legal Business Name | SEAPORT FAMILY PRACTICE, P.C. |
| Entity Type | Organization |
| Authorized Contact | DANIEL RONEY Authorized Official 816-781-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-02-16 |