| NPI | 1013183938 |
|---|---|
| Doing Business As | A PLACE FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY P VAN SCRIVER Owner 904-674-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME73993) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2011-04-28 |