| NPI | 1922318948 |
|---|---|
| Other Name | GOODWILLUS MEDICAL CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | ADETOLA ADEYANJU-ISHOLA President/CEO 727-862-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME56548) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2011-10-28 |