NPI | 1639359821 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY LEITH SWEZEY President 772-569-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0040405) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2010-05-19 |