| NPI | 1619181914 |
|---|---|
| Doing Business As | MAIN STREET MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSHUA K. KOLMETZ Owner 850-398-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-06-21 |