| NPI | 1043442676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEON BRIDGEWATER President 954-671-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME63506) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2009-08-15 |