| NPI | 1417437872 |
|---|---|
| Doing Business As | AMA WAUCHULA |
| Entity Type | Organization |
| Authorized Contact | PATRICK CARNEGIE President And CEO 941-776-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2022-06-02 |