| NPI | 1588054415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E LANDAY Dr. 325-331-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME22129) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |