| NPI | 1821332172 |
|---|---|
| Doing Business As | CAREHERE CITY OF LAKE MARY |
| Entity Type | Organization |
| Authorized Contact | ERNIE CLEVENGER President 615-221-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |