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 |