| NPI | 1548057128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK FLO Owner 843-601-6079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |