NPI | 1558184556 |
---|---|
Other Name | BROOKSVILLE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | SYED WAJAHAT W ALI Owner / Provider 352-797-9677 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2024-11-07 |
Last Update Date | 2024-11-07 |