| NPI | 1053470724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE AILENE DANIEL President 239-939-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0062545) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |