| NPI | 1346854320 |
|---|---|
| Doing Business As | CIVIL MEDICAL |
| Entity Type | Organization |
| Authorized Contact | WILCO CIVIL Employee 813-403-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QV0200X Clinic/Center, VA | |
| 315D00000X Hospice, Inpatient | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-11-04 |