NPI | 1881025351 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS J. BUHRING President/Authorized Official 407-649-7401 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME63815) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME66473) |
207V00000X Obstetrics & Gynecology (Licence: FL ME113197) | |
Enumeration Date | 2013-12-09 |
Last Update Date | 2015-08-07 |