NPI | 1679737308 |
---|---|
Doing Business As | FAMILY MEDICAL CENTER SOUTHSIDE |
Entity Type | Organization |
Authorized Contact | ANDREW T CHRISTMAN CEO 941-685-7688 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2008-07-11 |
Last Update Date | 2024-04-26 |