NPI | 1871533158 |
---|---|
Former Legal Business Name | FAMILY PRACTICE OF SEMINOLE |
Entity Type | Organization |
Authorized Contact | MARY W CULLEY Owner 727-398-5295 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0042533) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-08-22 |