| NPI | 1336278555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SYMEONIDES Physician 386-569-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME83577) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME83577) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |