| NPI | 1003314915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN RAMSDEN Owner/President 850-630-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME107784) |
| Additional Taxonomies | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine (Licence: FL ME107784) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |