| NPI | 1689863656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA KINGSLEY SPRINGER Owner 386-672-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME81902) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-25 |