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 |