NPI | 1336718089 |
---|---|
Doing Business As | PITCHER PRIMARY CARE AND LA WELLNESS |
Entity Type | Organization |
Authorized Contact | LISA A BAKER President 321-374-4785 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2021-06-17 |
Last Update Date | 2024-04-03 |