| NPI | 1376823922 |
|---|---|
| Doing Business As | CREEKSIDE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SANDRA STEELE Chief Financial Officer 239-658-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-10-13 |