| NPI | 1831615293 |
|---|---|
| Doing Business As | SACRED HEART MEDICAL GROUP #02 |
| Entity Type | Organization |
| Authorized Contact | JAN FOLEY Enrollment Coordinator 850-475-4620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |