NPI | 1386956274 |
---|---|
Entity Type | Organization |
Authorized Contact | DOROTHY T. CHRISTMAN Director 727-785-1998 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME82646) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2013-03-20 |