NPI | 1578881645 |
---|---|
Doing Business As | .DIANA J. GRAVES, D.O. |
Entity Type | Organization |
Authorized Contact | DIANA JOHNSTONE GRAVES Owner 352-690-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2010-05-13 |
Last Update Date | 2023-12-04 |