NPI | 1376651554 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC SCOTT PALOSKY President 863-385-1777 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0007466) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2010-09-30 |