| NPI | 1649944901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE NAPIER VP, Revenue Management 321-841-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |