| NPI | 1841470952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A MCLAIN Billing Manager 727-536-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME39740) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-01-22 |