NPI | 1508209214 |
---|---|
Doing Business As | DOCTOR 2 YOUR DOOR |
Entity Type | Organization |
Authorized Contact | TANSYLA NICHOLSON Medical Director 407-545-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME101521) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME101521) |
Enumeration Date | 2013-04-11 |
Last Update Date | 2013-04-11 |