NPI | 1851146468 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE GREEN EVP/CFO 863-687-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
208D00000X General Practice | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-05-16 |