| NPI | 1619022951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J MOUNTCASTLE President 727-865-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME36289) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-11-20 |