| NPI | 1710571039 |
|---|---|
| Doing Business As | GULFSIDE MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | MALCOLM KISH MCLEOD Owner 251-943-1584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-03-03 |