| NPI | 1356485874 |
|---|---|
| Doing Business As | PORT SYLVANIA FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | KENYA DIXON Credentialing Assistant 419-824-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2008-02-18 |