NPI | 1730682808 |
---|---|
Doing Business As | AMD PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MARIA D MAYNOLDI Administrator 904-579-4766 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME130811) |
Enumeration Date | 2018-03-14 |
Last Update Date | 2018-11-13 |