NPI | 1538794326 |
---|---|
Doing Business As | ALLY FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KRISTIN KAY Owner 352-888-2783 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-03-12 |
Last Update Date | 2021-09-22 |