| NPI | 1467638924 |
|---|---|
| Doing Business As | MAITLAND PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | VINCENT PAUL WILSON President 407-678-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |