NPI | 1942384771 |
---|---|
Entity Type | Organization |
Authorized Contact | KONNIE KAY COHRS Office Manager 407-246-7001 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 48761) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2014-12-02 |