NPI | 1548280316 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL S LAMB Billing Office Manager 941-926-0969 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0007762) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-22 |