NPI | 1588091029 |
---|---|
Former Legal Business Name | FM MEDICAL LLC |
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 | 2023-10-11 |