NPI | 1578790432 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON KELLY Director, Physician Operations 407-296-1823 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
207T00000X Neurological Surgery | |
207V00000X Obstetrics & Gynecology | |
2084N0400X Psychiatry & Neurology, Neurology | |
208600000X Surgery | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2009-06-18 |
Last Update Date | 2010-04-27 |