| NPI | 1790047934 |
|---|---|
| Doing Business As | TOWN CENTER MEDICAL |
| Entity Type | Organization |
| Authorized Contact | CHAD BLACK Owner/Partner 386-788-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME100993) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2015-03-27 |