| NPI | 1639261175 |
|---|---|
| Doing Business As | DESOTO MEMORIAL CENTER FOR FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | VINCENT A SICA CEO 863-494-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: FL 4218) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-03-28 |