NPI | 1497928865 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER W. CONAVAY Sole Proprietor 407-447-5370 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 42102) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |