| NPI | 1033156542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA DAWN HENDERSON Physician/Owner 941-764-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS8343) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-09-30 |