| 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 |