| NPI | 1386731594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WOODARD OWNBY President 386-427-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME26254) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2014-01-28 |