NPI | 1982620597 |
---|---|
Doing Business As | COUNTRYSIDE ARTHRITIS CENTER |
Entity Type | Organization |
Authorized Contact | ANTONY G SANKOORIKAL Owner/President 727-797-7410 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0062422) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |