| NPI | 1750410817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GRAYSON LEHMAN President 407-894-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME41509) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-07-10 |