| NPI | 1801252457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON SMITH CEO 321-243-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-10-05 |