| NPI | 1588091029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MARIE AEPPLI Billing Manager 904-529-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME117337) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2025-07-11 |