NPI | 1609541069 |
---|---|
Other Name | COUNTRYSIDE |
Entity Type | Organization |
Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2021-08-09 |
Last Update Date | 2021-08-09 |