NPI | 1447290895 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHTON CHASE BRINSON President 407-774-7080 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME86123) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2015-09-28 |