| NPI | 1528052164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JULIUS DALLMAN President 727-937-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME32677) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-08-22 |