| NPI | 1952572158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL R GREENLEE Owner/Physician 850-435-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0058619) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |