| NPI | 1730677204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J. BUHRING Credentialing Specialist 407-649-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |