| NPI | 1053614305 |
|---|---|
| Doing Business As | OB-GYN OF ST AUGUSTINE |
| Entity Type | Organization |
| Authorized Contact | VIHAYSELWYN DAVIS DHAS Owner 904-824-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME104834) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2012-10-18 |