| NPI | 1881345106 |
|---|---|
| Doing Business As | DEDEA, MD FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LACEY F WHITWORTH Practice Manager 352-610-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2024-06-12 |