| NPI | 1972661262 |
|---|---|
| Former Legal Business Name | FAMILY PHYSICIAN ASSOCIATES PA |
| Entity Type | Organization |
| Authorized Contact | THOMAS G HARRISON CEO 850-297-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-11-11 |