| NPI | 1336166099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ROGER DUNKELBERGER Owner 727-577-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8970) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-08-18 |