| NPI | 1356005342 |
|---|---|
| Other Name | VILLAGE MEDICAL - LARGO WEST |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Director 706-513-4897 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |