| 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 |