NPI | 1902292352 |
---|---|
Doing Business As | CENTRAL PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | FAWZI GEORGE MEHANNA Md 863-648-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME75774) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2015-04-13 |