NPI | 1336202472 |
---|---|
Entity Type | Organization |
Authorized Contact | JANINE ELISE PARTRIDGE Office Manager 727-392-2247 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0018048) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2007-11-05 |