| NPI | 1982134797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH YANNUCCI Owner/ President 863-657-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME92786) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |