| NPI | 1548698608 |
|---|---|
| Doing Business As | ST DOMINIC FAMILY PRACTICE BRANDON |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SINCLAIR President Of Sdma 601-200-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 18818) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2016-12-30 |