NPI | 1457065203 |
---|---|
Doing Business As | GENERATIONS PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ANN GWINNUP Manager 850-218-6382 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-01-06 |
Last Update Date | 2023-05-04 |