NPI | 1336172709 |
---|---|
Former Legal Business Name | SACRED HEART CLINIC, INC. |
Entity Type | Organization |
Authorized Contact | WALTER LAMAR SEIFERT President 407-212-5589 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108299) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2012-09-18 |