NPI | 1386783520 |
---|---|
Doing Business As | EDNEM FAMILY MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | EDSEL JERONIMO COMENENCIA Physician 407-482-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-02-05 |
Last Update Date | 2009-12-04 |