| 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 |