| NPI | 1043323405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DAVID SABOL President 352-732-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 19512) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |