| NPI | 1467159392 |
|---|---|
| Other Name | DPMWC |
| Entity Type | Organization |
| Authorized Contact | LORA MORSE VP Professional Fee Services 321-434-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |