NPI | 1902583412 |
---|---|
Doing Business As | ADVENTHEALTH PRIMARY CARE PLUS AT WALGREENS -DALE MABRY |
Doing Business As | ADVENTHEALTH TOTAL HEALTH MANAGEMENT |
Entity Type | Organization |
Authorized Contact | SCOTT C. BRADY President 407-200-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-06-28 |
Last Update Date | 2023-06-29 |